Abstract
Maria Gonzales is brought to the pediatric clinic by her single mother, Evelyn Gonzales, age 24. Ms. Gonzales lives in a subsidized housing project in a one-bedroom apartment. Maria weighed 3.5 kg (almost 7.5 lb) at birth in the 25th percentile and was 47 cm (18.8 in.) in length (25th percentile). Her head circumference was 33.4 cm (13.36 in.). Her current weight is 5.5 kg (12.1 lb). Her current length is 59 cm (23.6 in.). Her current head circumference is 40 cm (16 in.)—at the 25th percentile. Maria is being bottle-fed. She has not yet doubled her weight. Maria’s mother is concerned because she notices that Maria no longer startles when there is a loud noise. When Maria hears her mother’s voice she turns to her. Maria holds a rattle in her hand and brings it to her mouth. Maria drinks 5 oz six times a day usually every 3 h with a longer stretch at night. She has seven wet diapers a day and semiformed stools once daily.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
American Academy of Pediatrics (2009) Committee on nutrition: pediatric nutrition handbook, 6th edn. American Academy of Pediatrics, Elk Grove Village, IL
Brazelton TB (1983) Infants and mothers: differences in development. Dell, New York
Burns CE et al (2009) Pediatric primary care: a handbook for nurse practitioners, 4th edn. W.B. Saunders, Philadelphia, PA
Cain DS (2008) Parenting online and lay literature on infant spanking: information readily available to parents. Soc Work Health Care 47(2):174–184
Centers for Disease Control and Prevention (2011) Recommendations and guidelines: childhood and adolescent immunization schedules. http://www.cdc.gov/vaccines/schedules/index.html. Accessed 11 Dec 2014
Clinton P (2011a) Four-month visit. In: Richardson B (ed) Pediatric primary care: practice guidelines for nurses. Jones & Bartlett Learning, Burlington, MA, pp 75–80. Chapter 9
Clinton P (2011b) Six-month visit. In: Richardson B (ed) Pediatric primary care: practice guidelines for nurses. Burlington, MA, Jones & Bartlett Learning, pp 81–84. Chapter 10
Dixon SD, Stein MT (2006) Encounters with children: pediatric behavior and development, 4th edn. Mosby, St. Louis, MO
Hagan JF, Shaw JS, Duncan P (eds) (2008) Bright futures: guidelines for health supervision of infants, children, and adolescents, 3rd edn. American Academy of Pediatrics, Elk Grove Village, IL
Hockenberry MJ, Wilson DW (2011) Wong’s nursing care of infants and children, 9th edn. Elsevier/Mosby, New York, NY
Hurley DS (2000) Developing fine and gross motor skills: Birth to three. PRO-ED, Inc, Austin, TX. www.proedinc.com
Larzele RE (2008) Disciplinary spanking: The scientific evidence. J Dev Behav Pediatr 29(4):334–335
Marcdante KJ, Kliegman RM, Jenson HB et al (eds) (2011) Nelson essentials of pediatrics, 6th edn. Saunders, Philadelphia, PA
McInerny TK, Adam HM, Campbell DE, Kamat DM, Kelleher KJ (eds) (2009) Textbook of pediatric care. American Academy of Pediatrics, Elk Grove Village, IL
Mindell JA, Owens JA (2009) A clinical guide to pediatric sleep: diagnosis and management of sleep problems, 2nd edn. Lippincott Williams & Wilkins, Philadelphia, PA
Ontario Society of Nutrition Professionals in Public Health (2014) Pediatric nutrition guidelines (birth to six years) for health professionals. Ontario, Canada. http://www.healthunit.org/professionals/nutrition/Pediatric%20Nutrition%20Guidelines%20for%20Primary%20Health%20Care%20Providers.pdf. Accessed 28 Aug 2015
Porter, RS, Kaplan, JL (2011) The Merck manual online. http://www.merck.com/mmpe/index.html. Accessed 11 Dec 2014
Potts NL, Mandleco BL (eds) (2012) Pediatric nursing: caring for children and their families, 3rd edn. Delmar Cengage Learning, Clifton Park, NY
Samour PQ, King K (2005) Handbook of pediatric nutrition, 3rd edn. Jones and Bartlett Publishers, Sudbury, MA
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Kramer, D. (2017). Four-Month Visit. In: Primary Well-Being: Case Studies for the Growing Child. Springer, Cham. https://doi.org/10.1007/978-3-319-56708-2_10
Download citation
DOI: https://doi.org/10.1007/978-3-319-56708-2_10
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-56707-5
Online ISBN: 978-3-319-56708-2
eBook Packages: MedicineMedicine (R0)